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远程烧伤治疗:设计一款改善烧伤治疗的远程医疗应用程序。

Teleburn: Designing A Telemedicine Application to Improve Burn Treatment.

作者信息

Hosseini Farhang, Ayatollahi Haleh, Salehi Seyed Hamid, Jafar Kazemzadeh

机构信息

Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.

Iran University of Medical Sciences, Tehran, Iran.

出版信息

Open Med Inform J. 2018 Aug 31;12:33-41. doi: 10.2174/1874431101812010033. eCollection 2018.

DOI:10.2174/1874431101812010033
PMID:30288202
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6142640/
Abstract

BACKGROUND

Due to the increasing rate of the burn injuries and a limited number of specialized treatment centers, providing medical advice and medical care at the point of need is necessary. The aim of the present study was to design and implement a teleburn system to enhance the quality of care for the burn patients.

METHODS

This study was completed in 2016. In order to design the system, information needs assessment was conducted by using a questionnaire. The participants of this phase were five specialists, five general practitioners, and 12 nurses. The setting of the study was the burn department of a public hospital and a burn center. The prototype of the system was designed based on the findings derived from the first phase, and the usability of the system was evaluated later.

RESULTS

The teleburn system was a web-based system with different sections for GPs/nurses and specialists. In total, 28 burn consultations were made successfully by using the system. The findings of the usability testing showed that most of the participants evaluated the system at a good level. The mean score for the specialists, general practitioners and nurses was 8.4±0.46, 7.7±0.39, and 7.5±0.51, respectively.

CONCLUSION

Although it was the first time in the country that the teleburn system was designed and introduced to the clinicians, they seemed to be satisfied with using the system. This system could help general practitioners and nurses to receive specialist's advice on a timely manner to improve the treatment of the burn patients. However, more research should be conducted to determine the effectiveness of using this technology in the real work environment.

摘要

背景

由于烧伤发生率不断上升且专业治疗中心数量有限,在需要时提供医疗建议和医疗护理很有必要。本研究的目的是设计并实施一个远程烧伤系统,以提高烧伤患者的护理质量。

方法

本研究于2016年完成。为设计该系统,通过问卷调查进行了信息需求评估。这一阶段的参与者包括五名专家、五名全科医生和十二名护士。研究地点是一家公立医院的烧伤科和一个烧伤中心。该系统的原型基于第一阶段的研究结果进行设计,随后对系统的可用性进行了评估。

结果

远程烧伤系统是一个基于网络的系统,为全科医生/护士和专家设置了不同板块。使用该系统共成功进行了28次烧伤会诊。可用性测试结果表明,大多数参与者对该系统的评价较好。专家、全科医生和护士的平均得分分别为8.4±0.46、7.7±0.39和7.5±0.51。

结论

尽管这是该国首次设计并向临床医生引入远程烧伤系统,但他们似乎对使用该系统感到满意。该系统可以帮助全科医生和护士及时获得专家建议,以改善烧伤患者的治疗。然而,应开展更多研究以确定在实际工作环境中使用这项技术的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d9/6142640/9e5910099a81/TOMINFOJ-12-33_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d9/6142640/570ed70717e5/TOMINFOJ-12-33_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d9/6142640/9e5910099a81/TOMINFOJ-12-33_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d9/6142640/570ed70717e5/TOMINFOJ-12-33_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09d9/6142640/9e5910099a81/TOMINFOJ-12-33_F2.jpg

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Telemedicine for Developing Countries. A Survey and Some Design Issues.面向发展中国家的远程医疗。一项调查及若干设计问题
Appl Clin Inform. 2016 Nov 2;7(4):1025-1050. doi: 10.4338/ACI-2016-06-R-0089.
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Transition from grant funding to a self-supporting burn telemedicine program in the western United States.从美国西部的赠款资助向一个自负盈亏的烧伤远程医疗项目的转变。
Am J Surg. 2015 Dec;210(6):1037-42; discussion 1042-4. doi: 10.1016/j.amjsurg.2015.08.003. Epub 2015 Sep 14.
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Telemedicine and burns: an overview.远程医疗与烧伤:概述
Ann Burns Fire Disasters. 2014 Jun 30;27(2):87-93.
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Video-Enhanced Telemedicine Improves the Care of Acutely Injured Burn Patients in a Rural State.视频增强型远程医疗改善了农村地区急性烧伤患者的护理。
J Burn Care Res. 2016 Nov/Dec;37(6):e531-e538. doi: 10.1097/BCR.0000000000000268.
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Pediatric teledermatology: a survey of usage, perspectives, and practice.儿科远程皮肤病学:使用情况、观点及实践的调查
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J Invest Dermatol. 2015 Mar;135(3):895-900. doi: 10.1038/jid.2014.441. Epub 2014 Oct 7.
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Image-based medical expert teleconsultation in acute care of injuries. A systematic review of effects on information accuracy, diagnostic validity, clinical outcome, and user satisfaction.急性损伤护理中基于图像的医学专家远程会诊。对信息准确性、诊断有效性、临床结果和用户满意度影响的系统评价。
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